University Family Medical Clinic P.a.

NPI 1407049034 - Clinic/Center - 261Q00000X

NPI Details
NPI 1407049034
Enumeration Date 08/27/2007
Last Updated 08/27/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name H THOMAS H
Position OWNER
Phone (817) 338-0555
Fax (817) 338-4039
Practice Location
117 UNIVERSITY DR
FORT WORTH TX, 76107-1922, US
Phone (817) 338-0555
Fax (817) 338-4039
Business Location
117 UNIVERSITY DR
FORT WORTH TX, 76107-1922, US
Phone (817) 338-0555
Fax (817) 338-4039
Toxanomy
Taxonomy Code 261Q00000X
License State Texas
License Number H0939
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According to our database, University Family Medical Clinic P.a. NPI is 1407049034, taxonomy code is 261Q00000X and license number is H0939, license state is located at Texas. University Family Medical Clinic P.a. physically located at 117 University Dr, Fort Worth TX, 76107-1922. NPI Number 1033115704 has the healthcare provider type.

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1407049034 NPI number is provided on an as is basis without warranty of any kind. 1407049034 is maintained by the National Plan & Provider Enumeration System. The contents of University Family Medical Clinic P.a. are for informational purposes only.